The argument put forward in this paper is that successful implementation of
research into practice is a function of the interplay of three core
elements--the level and nature of the evidence, the context or environment
into which the research is to be placed, and the method or way in which the
process is facilitated. It also proposes that because current research is
inconclusive as to which of these elements is most important in successful
implementation they all should have equal standing. This is contrary to the
often implicit assumptions currently being generated within the clinical
effectiveness agenda where the level and rigour of the evidence seems to be
the most important factor for consideration. The paper offers a conceptual
framework that considers this imbalance, showing how it might work in
clarifying some of the theoretical positions and as a checklist for staff
to assess what they need to do to successfully implement research into
practice.



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